INTRAOPERATIVE, POSTOPERATIVE COMPLICATIONS AND VISUAL OUTCOME IN CASES OF POST-UVEITIC CATARACTS
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Keywords
Post-uveitic cataract, uveitis, cataract surgery, phacoemulsification, intraoperative complications, postoperative complications, visual outcome
Abstract
Background: Cataract is a common sequela of uveitis and may result from chronic intraocular inflammation as well as prolonged corticosteroid therapy. Cataract surgery in eyes with previous uveitis can be technically challenging because of posterior synechiae, small or irregular pupils, inflammatory membranes and compromised ocular tissues. Despite these challenges, appropriate control of inflammation and modern cataract surgery can result in significant visual rehabilitation.
Aim: To evaluate intraoperative and postoperative complications and assess visual outcomes following cataract surgery in patients with post-uveitic cataract.
Materials and Methods: A hospital-based observational study was conducted in the Department of Ophthalmology, MECC Hospital, Bidar, from June 2024 to December 2024. Thirty patients with post-uveitic cataract were included. All patients underwent detailed preoperative ophthalmic evaluation followed by cataract surgery with intraocular lens implantation where appropriate. Intraoperative complications, postoperative complications and best-corrected visual acuity were assessed during follow-up.
Results: Posterior synechiae requiring synechiolysis (40%) and small or poorly dilating pupils (33.3%) were the most frequent intraoperative challenges. Postoperative complications included persistent anterior chamber inflammation (20%), posterior capsule opacification (16.7%), raised intraocular pressure (13.3%), cystoid macular edema (10%), corneal edema (6.7%) and recurrent uveitis (6.7%). At final follow-up, 60% achieved BCVA of 6/6–6/18 compared with 6.7% preoperatively.
Conclusion: Cataract surgery in post-uveitic eyes can provide substantial visual improvement when inflammation is adequately controlled and appropriate perioperative management is undertaken. Careful preoperative assessment, meticulous surgical technique and close postoperative monitoring are essential.
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Dr Santosh Policepatil, MECC, bidar
